Contractions in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18326
SMLE Question #18326
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-OBG-001
Last updated: February 2026
A 27-year-old G1P0 at 38 weeks presents with contractions and a gush of fluid 3 hours ago with ongoing leakage. Sterile speculum exam shows pooling of clear fluid. Cervix is 4 cm dilated and 60% effaced; the presenting part is breech. Cardiotocography is reactive. Ultrasound 2 days ago estimated fetal weight 2.9 kg. After 2 hours, the cervix remains 4 cm with no descent. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.